Individual provider Active NPI

Callie Klaerner, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1174102099
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
V6975 Issued in TX
Practice address
3900 Junius St Ste 145
Dallas, TX 75246-1616
Phone
(214) 377-1699
NPI assigned
Apr 7, 2021
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X V6975 TX Primary

Addresses

Primary practice location

3900 Junius St Ste 145
Dallas, TX 75246-1616

Mailing address

2012 Custer Pkwy
Richardson, TX 75080-3403
Phone (214) 708-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916003954 TX Practitioner - Obstetrics/Gynecology 4486053063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at San Antonio, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Obstetrics and Gynecology PLLCGroup PAC ID 5991854317, 5 clinicians

Practice addresses (Care Compare)

3900 Junius St
Suite 145
Dallas, TX 75246-1616
Phone 2143771699309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Obstetrics & Gynecology PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

3900 Junius St
Ste 145
Dallas, TX 75246
Phone (214) 377-1699

Interoperability endpoints

  • Direct secure messaging: callie.klaerner.1@31882.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1174102099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CUSTER PKWY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803403",
            "telephone_number": "214-708-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JUNIUS ST STE 145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461616",
            "telephone_number": "214-377-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAERNER",
        "first_name": "CALLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "V6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.